요양병원 노인환자의 우울과 일상생활수행능력에 관한 연구

Abstract

ABSTRACT

A study on Depression and Activities of Daily Living among the elderly Patients in geriatric hospital

Hong, Ji Youn Advisor : Prof. Seon Young Hwang Department of Nursing Graduate School of Chosun University

Background & Purposes: Information is limited regarding the degree of depression and the related factors among the elders in geriatric hospital. This study was conducted to examine the relationship between depression and activities of daily living, and to find predicting factors on the depression in the elderly patients. Methods: A total of 149 patients > 65 years(30 men and 119 women) were directly interviewed by nurses who involved in direct patient care after obtaining informed consent. Data were collected at three geriatric hospitals located in three small cities from October to September 2009. The level of depression was measured through continuous observation for 7 days using 13 item-ed depression appraisal scale developed by Lee (2006). Activities of daily living was measured 10 item-ed Bathel Activities of Daily Living(BADL) developed by Bathel & Mahoney(1995). Data were analyzed by descriptive analysis, t and one-way ANOVA tests, and stepwise multiple regression analysis using SPSS version 17.0. Results: About 80% was female and mean age was 79.1 years old (SD=7.19). Average length of hospital stay was 14.9 months(SD=13.4). The 60.1% of the patients had more than two comorbid diseases and 50.3% involved in activity program of the hospital. Mean depression score was 10.05(SD=4.77) out of 26 and mean ADL score was 11.85 (SD=4.69). Multiple regression analysis showed that a low ADL, a low education, a difficulty in sleep, no spouse, and less family visit predicted higher level of depression. Those six variables accounted for 51.1% of the variance (p<.001). Conclusions: Nursing care providers need to concern about ADL of the older patients and should develop nursing activity programs to increase their in-hospital physical activities. It is also needed to care older patients sleep well and encourage family visit to decrease their depression.